Maintain comprehensive, accurate, legible, up-to-date and confidential records of the clinical care provided by the midwife for each client. These shall be made available to appropriate health care personnel upon consultation or transfer of care.

3.2

Maintain written guidelines that are congruent with state regulations for the midwifery profession. Guidelines shall contain a clear, written plan for physician consultation, collaboration, referral, hospital access and transfer of care.

Provide thorough informed choice in accordance with RCW 7.70, which includes risk/benefit analysis of options for care, and uphold the client's right to information and resources.

4.2

Incorporate client education in clinical care.

4.3

Provide accurate information regarding the scope of midwifery practice, fees, medical consultation arrangements and the rights and responsibilities of the client.

4.4

Emphasize client's responsibility for active participation in her own care, and encourage the participation of family members in care as appropriate.

4.5

Elicit client feedback to evaluate and modify services, and provide an avenue for resolving client grievances.

4.6

Affirm the client's right to self-determination while acknowledging that the midwife has a duty to use her professional judgment and skills to provide safe and competent care that is within her scope of practice and written guidelines. The midwife may decline to provide care but shall make appropriate arrangements for referral and/or the timely transfer of care.